Provider Demographics
NPI:1053484030
Name:Y & R MEDICAL CENTER INC
Entity Type:Organization
Organization Name:Y & R MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:MILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-443-1133
Mailing Address - Street 1:8051 W 24TH AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5595
Mailing Address - Country:US
Mailing Address - Phone:786-443-1133
Mailing Address - Fax:
Practice Address - Street 1:8051 W 24TH AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5595
Practice Address - Country:US
Practice Address - Phone:786-443-1133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5785208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty